| NPI | 1013272665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND CAVAZOS Owner 512-551-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX J5084) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2019-01-30 |